Alumni & Friends

Prospective Student Referral

Prospective Student Referral

Prospective Student Referral

Student Referral Form


In an effort to continue to attract quality students to Wittenberg, we encourage our alumni and friends of the university to complete the student referral form. The Office of Admission will process the request and send materials to the student. You will receive notification of your referral being processed and we hope to keep you updated on the progress of the alumni volunteer efforts in the Admission Office.

Your Information

First Name:
Middle Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Region/Province:
Zip:
Phone Number:
Cell phone:
Class Year:

Student's Information

First Name:
Last Name:
Middle Initial:
Address Line 1:
Address Line 2:
City:
State:
Region/Province:
Zip / Postal:
Phone:
Cell:
Email Address:
High School Name:
Graduation Year:
High School Athletics:
Other High School Activities:
Additional Comments:



Child of Wittenberg Alumni?

Alumni Parent Name:
Class Year of Alumni Parent: